Organization
INTEGRATED GROUP PRACTICE LLC
Active
Other names
Urology Specialists of America, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R HAFLER (CHIEF ADMINISTRATIVE OFFICER)
(614) 298-8150
Entity
Organization
Contact information
Practice address
5131 BEACON HILL RD, SUITE 220, COLUMBUS, OH 43228-4442
(614) 298-8150
(614) 299-2827
Mailing address
5131 BEACON HILL RD, SUITE 220, COLUMBUS, OH 43228-4442
(614) 298-8150
(614) 299-2827
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/03/2010
Last updated
09/20/2011
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